DSM IV Definitions Flashcards
- Prominent hallucinations or delusions
- Symptoms DO NOT occur only during episode of delirium
- Evidence to support medical cause from lab data, history, or physical
Psychosis secondary to general medical condition
- Prominent hallucinations or delusions
- Symptoms DO NOT occur only during episode of delirium
- Evidence to support medication or substance-related cause from lab data, history, or physical
- Disturbance is not better accounted for by a psychotic disorder that is not substance-induced
Psychosis secondary to medication or substance use
- Two or more of the following must be present for at least 1 month:
a. Delusions
b. Hallucinations
c. Disorganized speech
d. Grossly disorganized or catatonic behavior
e. Negative symptoms (such as flattened affect) - Must cause significant social or occupational functional deterioration
- Duration of illness for at least 6 months (including prodromal or residual periods in which above criteria may not be met)
- Symptoms not due to medical, neurological, or substance-induced disorder
Schizophrenia
- Two or more of the following must be present for at least 1 month:
a. Delusions
b. Hallucinations
c. Disorganized speech
d. Grossly disorganized or catatonic behavior
e. Negative symptoms (such as flattened affect) - Must cause significant social or occupational functional deterioration
- Duration of illness for at least 1 month and up to 6 months (including prodromal or residual periods in which above criteria may not be met)
- Symptoms not due to medical, neurological, or substance-induced disorder
Schizophreniform
- Meet criteria for either major depressive episode, manic episode, or mixed episode
- Have had delusions or hallucinations for 2 weeks in the absence of mood disorder symptoms
- Have mood symptoms present for substantial portion of psychotic illness
- Symptoms not due to general medical condition or drugs
Schizoaffective disorder
a. Delusions
b. Hallucinations
c. Disorganized speech
d. Grossly disorganized or catatonic behavior
e. Negative symptoms (such as flattened affect)
- Must cause significant social or occupational functional deterioration
- Duration of illness for 1 day to 1 months (including prodromal or residual periods in which above criteria may not be met)
- Symptoms not due to medical, neurological, or substance-induced disorder
Brief Psychotic Disorder
- Non-bizarre, fixed delusions for at least 1 month
- Does not meet criteria for schizophrenia
- Functioning in life not significantly impaired
Delusional Disorder
Known as folie a deux
- Shared psychotic disorder is diagnosed when a patient develops the same delusional symptoms with whom someone he or she is in a close relationship.
Shared Psychotic Disorder
Patient believes that his penis is shrinking and will disapprear. Causing his death
Koro - Asain culture
Sudden unprovoked outbursts of violence of which the person has no recollection. Person often commits suicide afterwards.
Amok - Malaysia, Southeast Asia
Headache, fatigue, and visual disturbances in male students
Brain fag - Africa
Must have at least five of the following symptoms for at least a 2-week period:
- Depressed Mood (At least this or Anhedonia)
- Anhedonia (At least this or Depressed Mood)
- Change in appetite or body weight (increased or decreased)
- Feelings of worthlessness or excessive guilt
- Insomnia or hypersomnia
- Diminished concentration
- Psychomotor agitation or retardation (restlessness or slowness)
- Fatigue or loss of energy
- Recurrent thoughts of death or suicide
Symptoms cannot be due to substance use or medical conditions, and they must cause social or occupational impairment.
Major Depressive Episode
A period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week and including at least three of the following:
- Distractibility
- Inflated self-esteem or grandiosity
- Increased in goal-directed activity (scoially, at work, or sexually)
- Decreased need for sleep
- Flight of ideas or racing thoughts
- More talkative or pressured speech (rapid and uninterruptible)
- Excessive involvement in pleasureable activities that have a high risk of negative consequences ( buying sprees, sexual indeiscretions)
Manic Episode
Criteria met for both manic episode and major depressive episode
Mixed Episode
A distict period of elevated, expansive, or irritable mood that includes at least three of the symptoms listed for the manic episode criteria.
Hypomanic Episode
